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The purpose of this 1-group, retrospective case study was to analyze the expanded role of registered nurse care coordination (RNCC) on health outcomes in a primary care setting in its real-life context. The convenience sample consisted of 244 adults diagnosed with uncontrolled diabetes mellitus and/or hypertension. Secondary data entered into the electronic health record by the health care team during patient visits pre- and post-implementation of the RNCC program were analyzed. Clinical findings suggest that RNCC may provide a valuable service. Additionally, financial analysis demonstrated that the cost of the RNCC position was both self-sustaining and revenue producing.

A deep learning (DL) algorithm is built and tested for its ability to determine centers of star images in HST/WFPC2 exposures, in filters F555W and F814W. These archival observations hold great potential for proper-motion studies, but the undersampling in the camera’s detectors presents challenges for conventional centering algorithms. Two exquisite data sets of over 600 exposures of the cluster NGC 104 in these filters are used as a testbed for training and evaluating the DL code. Results indicate a single-measurement standard error from 8.5 to 11 mpix, depending on the detector and filter. This compares favorably to the ∼20 mpix achieved with the customary “effective point spread function (PSF)” centering procedure for WFPC2 images. Importantly, the pixel-phase error is largely eliminated when using the DL method. The current tests are limited to the central portion of each detector; in future studies, the DL code will be modified to allow for the known variation of the PSF across the detectors.

The college student population is among the highest risk group for contracting sexually transmitted infections (STIs) such as gonorrhea, chlamydia, and HIV. Safe sex practices, which are intended to mitigate risks associated with sexually transmitted infections, are often negated in the population of heterosexual college students. Historically, research on safe sex practices has shown that the burden of behavior change and the focus on educational efforts historically fall onto the female population. There is little published on how safe sex education for males impacts attitudes and behaviors towards safe sex practices. This community-based participatory research (CBPR) project explored heterosexual college male attitudes and behaviors about safe sex responsibilities with the goal of creating effective health promotion messages to increase safer sex. The research team comprised almost entirely of undergraduate male students, which strengthened the design and translation of results to practice. A mixed methods design was employed utilizing both focus groups and surveys as data collection (n=121). Results showed that young men are still prioritizing pregnancy prevention over disease contraction and/or testing, and relying on female partners to initiate safe sex. Implications for health promotion practice efforts on college campuses include: male-led peer education programming and support and messaging around screening and prevention of STIs. © 2023, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Fingerprinting-based indoor positioning systems require a significant amount of time to set up due to the need for prior, offline signal map creation. We propose a mobile phone-based indoor positioning system that can be set up in a short amount of time in any environment with existing Wi-Fi infrastructure. We introduce interpolation into a fingerprinting-based system to reduce the number of reference points needed, leading to a reduction in signal map creation time. The proposed interpolation method is used in conjunction with a particle filter algorithm to provide an accuracy level comparable to the state-of-the-art. We created signal maps at three separate locations using a 100%, 50%, 20%, and 10% scan coverage in order to evaluate the effectiveness of our interpolation on the localization error on a lower scan percentage. We evaluated our signal maps before and after interpolation using 16 tests which included both motion and stationary tests, as well as tests taken 2 and 3 weeks after the initial data gathering. We show that our interpolation method is able to reduce the effects of a dimensional mismatch between signal map reference point vectors and a test sample vector, as well as reduce the effects of signal map aging. © 2023, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

The earth’s population is growing at a rapid rate, while the availability of water resources remains limited. Water is required for various purposes, including drinking, agriculture, industry, recreation, and development. Accurate forecasting of river flows can have a significant economic impact, particularly in agricultural water management and planning during water resource scarcity. Developing precise river flow forecasting models can greatly improve the management of water resources in many countries. In this study, we propose a two-phase model for predicting the flow of the Blackwater river located in the South Central United States. In the first phase, we use Multigene Symbolic Regression Genetic Programming (MG-GP) to develop a mathematical model. In the second phase, Particle Swarm Optimization (PSO) is employed to fine-tune the model parameters. Fine-tuning the MG-GP parameters improves the prediction accuracy of the model. The newly fine-tuned model exhibits 96% and 94% accuracy in training and testing cases, respectively © 2023, International Journal of Advanced Computer Science and Applications.All Rights Reserved.

Norms and behaviors about toileting in prison can expand understanding of women's lived experience of incarceration. Knowledge about this subject is significant because access to clean, safe toilets is a human rights issue, and toilet habits can impact social, mental, and physical outcomes. Three focus groups were conducted with 15 incarcerated women about their quotidian prison toilet experiences. While the toilet was physically available, institutional regulations, social norms, and women's individual psychologies limited their access and utilization. The ways in which toilet use was negotiated with self, peers, and are described, and the implications of these findings are discussed.

Searching for Earth-sized planets in data from Kepler's extended mission (K2) is a niche that still remains to be fully exploited. The TFAW survey is an ongoing project that aims to re-analyse all light curves in K2 C1-C8 and C12-C18 campaigns with a wavelet-based detrending and denoising method, and the period search algorithm TLS to search for new transit candidates not detected in previous works. We have analysed a first subset of 24 candidate planetary systems around relatively faint host stars (10.9 < Kp < 15.4) to allow for follow-up speckle imaging observations. Using vespa and TRICERATOPS, we statistically validate six candidates orbiting four unique host stars by obtaining false-positive probabilities smaller than 1 per cent with both methods. We also present 13 vetted planet candidates that might benefit from other, more precise follow-up observations. All of these planets are sub-Neptune-sized with two validated planets and three candidates with sub-Earth sizes, and have orbital periods between 0.81 and 23.98 d. Some interesting systems include two ultra-short-period planets, three multiplanetary systems, three sub-Neptunes that appear to be within the small planet Radius Gap, and two validated and one candidate sub-Earths (EPIC 210706310.01, K2-411 b, and K2-413 b) orbiting metal-poor stars. © 2022 The Author(s) Published by Oxford University Press on behalf of Royal Astronomical Society.

This paper introduces a universal framework for service-based learning which provides information systems students with opportunities to gain invaluable hands-on experience. More specifically, through this framework, students can develop hard, soft, and interdisciplinary skills in preparation for their first professional careers upon graduation. In addition to introducing the framework, we provide student testimonials and feedback as well as lessons learned from our experience in efforts to prepare and help other schools interested in offering similar growth opportunities to their students to have a smooth and successful implementation. © 2023, Journal of Information Systems Education. All Rights Reserved.

The Chinese urban–rural binary health insurance structure has contributed to a significant urban–rural segmentation and regional fragmentation, which will affect labor mobilization and urbanization. The purpose of this research is to study whether and how urban–rural binary health insurance impacts the intentions of migrant workers to switch between rural and urban hukou. Pooled data were drawn from China Migrants Dynamic Survey, collected by the National Health Commission of China. The study applied the instrument variable model due to the existence of the endogeneity; and the IVprobit model to conduct the empirical analysis. Our findings are as follows: (1) the urban–rural binary health insurance affects migrant workers’ intentions to switch to urban hukou significantly. (2) The negative impact of originally rural health insurance on migrant workers’ intention of switching to urban hukou is relatively large for low-education-level migrant workers. (3) Compared with new generation of migrant workers, old migrant workers have higher health insurance dependency levels. Finally, our research suggested several policy implications, such as accelerating the establishment of a unified urban–rural health insurance system, increasing the urban health insurance participation rate of migrant workers in their working cities, and including migrant workers in the scope of equal access to urban public services, etc. All the policy suggestions are essential in order to accelerate the citizenization of migrant workers, improve the quality of urbanization, and promote the construction of a unified national labor market.

The Busidima Formation in the Afar region, Ethiopia, spans the Quaternary and records the cultural evolution of the genus Homo. Yet, the Middle Pleistocene to Holocene fluvial environments in which early humans lived are undersampled in eastern Africa. This paper examines the stratigraphy, geochronology and paleoenvironments of the newly designated Odele Member of the uppermost Busidima Formation (<152 thousand years ago (ka)), which has received little attention despite representing a critical period in the evolution of early Homo sapiens and its migration out of Africa. The Odele Member is 40–50 m thick and is dated using tephrochronology, radiometric, luminescence, and electron spin resonance techniques. The member spans 151 to 7 ka, defined at the base by the widespread Waidedo Vitric Tuff (WAVT, 151 ± 16 ka modeled age and 95.4% credible interval - C.I.). There are two prominent erosional unconformities in the Odele Member, a lower one after the WAVT deposition with a modeled 95.4% C.I. range of 124–97 ka; and an upper one involving widespread alluvial fan incision commencing between 21.7 and 12.9 ka. The uppermost Odele Member also contains black, organic-rich mats, redox features, reed casts, and freshwater gastropods marking wetter conditions during the terminal Pleistocene and Early Holocene. A black, fine-grained relict soil coeval with the Halalalee paleosol bounds the top of the Odele Member and has mollic and vertic properties, weathering since ∼12 ka. These incision events and prominent paleosol development near/at the top of the Busidima Formation document Middle to Late Pleistocene Awash River incision to its present-day course. Paleo-rainfall estimates suggest that the Early Holocene-age Halalalee paleosol weathered under a climate with mean annual rainfall 10–15% higher than today. A compilation of radiocarbon ages from aquatic gastropods, carbonized wood and charcoal from the upper Odele Member shows wetter and possibly more vegetated conditions during late marine isotope stage (MIS) 3 and the African Humid Period (AHP) that are tightly coupled with precession-driven summer insolation maxima. These key findings suggest that periods of incision, aggregation, and landscape stability in the Odele Member have an orbital precession pacing. The Odele Member revises upward the age of the Busidima Formation to 7 ka, showing that it spans into the Holocene and now includes Middle and Later Stone Age archaeological traditions.

The spread of COVID-19 has thrown the world into a panic. We are constantly learning more about the virus every day, from how it spreads to who is more susceptible to becoming infected by different variants. Those with underlying respiratory conditions and other immunocompromised individuals need to be extra cautious regarding the virus. Many researchers have created COVID-19 trackers to detect the spread of COVID-19 around the world and show hot spots where COVID-19 cases are more prevalent. Previous work lacks the consideration of comorbidity as a factor of death rate. This work aims to create an agent-based model to predict comorbidity death rate caused by a health condition in addition to COVID-19. The model is evaluated using the symmetric mean absolute percentage error metric and proved to be very efficient.

High-Throughput DNA and RNA sequencing are revolutionizing precision oncology, enabling personalized therapies such as cancer vaccines designed to target tumor-specific neoepitopes generated by somatic mutations expressed in cancer cells. Identification of these neoepitopes from next-generation sequencing data of clinical samples remains challenging and requires the use of complex bioinformatics pipelines. In this paper, we present GeNeo, a bioinformatics toolbox for genomics-guided neoepitope prediction. GeNeo includes a comprehensive set of tools for somatic variant calling and filtering, variant validation, and neoepitope prediction and filtering. For ease of use, GeNeo tools can be accessed via web-based interfaces deployed on a Galaxy portal publicly accessible at https://neo.engr.uconn.edu/. A virtual machine image for running GeNeo locally is also available to academic users upon request. © Copyright 2023, Mary Ann Liebert, Inc., publishers 2023.

Whalebacks, roche moutonnées, and S-forms carved on Ediacaran granitoids near Cerro de las Cuentas, Uruguay, along with overlying diamictites, siltstones, and sandstones displaying soft-sediment grooved and striated surfaces in the Pennsylvanian San Gregorio Formation, record the glacial to post-glacial transition in the linked Norte, southern Paraná and Chaco-Paraná basins of Uruguay, Brazil, and Argentina respectively. Early authors reported these features resulted from subglacial abrasion and deposition as lodgement tills and glaciotectonites. Our re-examination reveals a nuanced setting with changing ice thicknesses, subglacial kinematics, and ice proximal glaciomarine dynamics associated with advance and retreat of an ice stream, or multiple advances of the Uruguayan Ice lobe, during glaciation of the Late Paleozoic Ice Age (LPIA) in these basins. The preserved landforms indicate temperate glacial conditions. Whalebacks formed under 1.6 to 2.5 km-thick ice and likely formed when the lobe extended across the Uruguayan and Rio Grande do Sul shields into the adjacent Paraná Basin. Previously unidentified m-scale roches moutonnées cut into one whaleback developed under thinner ice where reduced basal pressure allowed for the opening of air and water-filled cavities, thus facilitating quarrying on the lee side of basement bumps. S-forms provide additional evidence for the occurrence of subglacial waters, indicating that the basal ice was at or above its pressure melting point. The lower meter of the overlying strata consists of interstratified trace fossil-bearing, laminated siltstones; thin-bedded diamictites; and current-rippled sandstones. Trace fossils belonging to the Mermia ichnofacies within the basal siltstones, as well as acritarchs in the overlying siltstones, suggest that these sediments were deposited in ice-proximal subaqueous settings with contributions from meltwater discharge. Graded siltstone laminae suggest settling from suspension likely from meltwater plumes, while thin-bedded diamictites were deposited either as debris flows or as two-component sedimentation with fines settling from suspension and coarser particles introduce as iceberg-rafted dropstones. Current-rippled sandstones indicate the occurrence of underflow currents. Soft-sediment troughs, grooves, and striations cutting these sediments display curved and sinuous paths with some features oriented perpendicular, and one oriented opposite to the overall trend. They contain marginal and terminal berms typical of iceberg scour marks suggesting transit across the area by icebergs calving from a tidewater ice front located to the SE.

Importance: Play is an area of difficulty for autistic children, and occupational therapy practitioners need evidence to guide interventions to improve play for this population. Ayres Sensory Integration® (ASI) intervention has not yet been studied for its impact on play outcomes.Objective: To examine the impact of ASI intervention on play types in autistic children.Design: Nonconcurrent, multiple-baseline design across subjects.Setting: Outpatient occupational therapy clinic in New England.Participants: Three autistic children, ages 5, 6, and 6 yr.Intervention: Twenty-four ASI sessions.Outcomes and Measures: Frequency of play type was coded using partial interval coding. Progress monitoring used Goal Attainment Scaling.Results: All three participants demonstrated changes in the frequency of specific types of play, but changes varied among them.Conclusions and Relevance: Findings suggest that ASI intervention may alter a child’s patterns of play.What This Article Adds: This study is the first to examine the impact of ASI on play and the third that documents the feasibility of single-subject research for studying ASI. If confirmed in future studies, ASI could become an evidence-based intervention for improving play, an important outcome for autistic children and the profession of occupational therapy.Positionality Statement: This article uses the identity-first language autistic people. This nonableist language describes their strengths and abilities and is a conscious decision. This language is favored by autistic communities and self-advocates and has been adopted by health care professionals and researchers (Bottema-Beutel et al., 2021; Kenny et al., 2016).

This pilot study explored the use of standardized patients in the virtual classroom in efforts to increase family nurse practitioner preparedness to engage in telemedicine care delivery. Using a mixed-methods approach, we determined this innovation significantly increased students' confidence in their ability to perform a telemedicine visit while also improving their satisfaction with the virtual classroom.

Nearly eight million American youth between the ages of 3 - 17 live with a psychiatric or behavioral health disorder. Many in grades K-12 are being unfavorably impacted in the classroom because of socioeconomic and environmental factors that include poverty, addiction, incarceration, trauma, domesti...

SHAPE America (2021) contends the use of physical activity used as punishment and/or behavior management as an inappropriate practice. The position statement acknowledges both the administration and withholding of physical activity as punishment, however, this paper focuses on the use of exercise as punishment (EAP) in physical education settings. While deemed inappropriate, the use of EAP is still happening today (Barney et al., 2016). The purpose of this viewpoint paper is to encourage appropriate pedagogies and practices while increasing awareness of national recommendations. Strategies for advocacy efforts are discussed.

This study presents an original model that features the emotion of fear of COVID-19 as a direct effect on vaccination intentions. A central research question addressed in the study is what roles do the emotion of fear of contracting COVID-19 and the threat posed by uptake of the COVID-19 vaccination play in levels of vaccination intention? The study used a structural equation model (SEM) and applied the SmartPLS 3.2.6 data analysis tool for model estimation and multivariate analysis variables. A key finding is that vaccination resistance is strongest when fear of COVID-19 is lower, and vaccination threat higher. Vaccination threat appraisal and vaccination intention were found to have a negative relationship. Response costs at higher levels lessen motivation for COVID-19 vaccination. Research implications include research-based targeting of differing segments by their primary fear, either fear of COVID-19 or of the preventative vaccine.

The use of Critical Race Theory, Photovoice, and Community-Based Participatory Research has helped uncover the root causes of issues such as systemic racism in the fields of public health and health promotion. Often, we see studies using traditional research methods to investigate potential causal factors of disparities in minoritized communities report only quantitative data. While these data are imperative for understanding the severity of disparities, quantitative-only approaches cannot address nor can they improve the critical root causes of these disparities. As a team of BIPOC graduate students in public health, we conducted a community-based participatory research project using Photovoice methodology to explore inequities in Black and Brown communities exacerbated during the COVID-19 pandemic. The participatory nature of this research revealed cumulative challenges across the social determinants of health in New Haven and Bridgeport, Connecticut. It allowed us to engage in local-level advocacy to promote health equity as our findings illuminated the need for community-led and community-engaged action. Health and racial inequities cannot be effectively addressed if public health research and programming do not collaborate with the community to build community capacity, empowerment, and trust. We describe our experiences doing community-based participatory research to investigate inequities and provide reflections on their value for public health students. As responses to health inequities and disparities become more politically polarized in the United States, it is critical for public health and health education students to use research methodologies that elevate communities that have been historically marginalized and neglected. Together, we can catalyze equitable change.